MEDICARE: SERENITY HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi

General Provider Information

NPI Number	:	1245173962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY HOMECARE LLC

Provider Business Mailing Address
First Line	:	16 LINDA CT
Second Line	:
City	:	CROMWELL
State	:	CT
Zip	:	06416-1740
Country	:	US
Telephone Number	:	860-770-1954
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 LINDA CT
Second Line	:
City	:	CROMWELL
State	:	CT
Zip	:	06416-1740
Country	:	US
Telephone Number	:	860-770-1954
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALMUSTAFA MOBALEL
Credential	:
Telephone Number	:	959-202-1519

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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